At Golden Winmark, your Total Satisfaction is our No.1 priority. Please take a few minutes to complete this questionnaire. Your valuable comments will definitely help us improve our products and services to you.

Items	Very Dissatisfied Very Satisfied
	1	2	3	4	5
1. Product Design
2. Product Quality
3. Sample Handling
4. Quotation Responsiveness
5. Order Handling
6. Lead Time
7. Follow-up Service
8. Delivery
9. Among your suppliers, how you rate our overall performance

Company Name	:
Full Name	:
Email Address	:
Contact Phone No.	:	Salesman :
Other Comment	: